FreshClaim Get Started

Medical billing for Australian specialists

Less admin, more claims paid.

Billing you don’t have to think about, from lodgement to payment. Designed for speed, accuracy and convenience.

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  • Less workClick and send, we do the rest
  • Faster paymentMedian 64 hours
  • Submitted claims paid99.8%

79,000+ claims over 4 years across Australia. The majority of our customers join after referrals from colleagues.

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Download FreshClaim on the App StoreGet FreshClaim on Google Play

What FreshClaim delivers

  • High payment success.

    FreshClaim was built to reduce failed claims overall. On submitted claims, the total unpaid claim rate is 0.2%.

  • Claims processed promptly.

    ECLIPSE lodgement same day, invoicing with informed financial consent actioned strictly to individual requirements.

  • Rejections handled at no extra cost.

    Our billing staff in Australia investigate, correct and lodge rejected claims again. If you have a question, you can call them.

  • Clear financial reporting.

    No hunting for deposits from batched payments. Medicare and health fund payments are matched to each patient. Follow on your app, monthly summaries produced for your accountant, and downloadable reports from your dashboard at any time.

  • No fixed costs.

    No setup fee, subscription or lock-in, and nothing until the claim is paid.

Why FreshClaim

The app, and the service behind it

Our priorities:

Ease of use.

Sending claims should be intuitive, organised, and clear. Our app keeps things simple and fast, with information at your fingertips.

Australian-based service

Medicare billing, and Australian healthcare billing in general, follows its own rules. We rely on our staff and systems to solve your claim problems locally. We consider an Australian-based service, with processing and data management kept onshore, vital for security, so we designed for efficiency, and the work stays in Australia.

  • 99.8% payment completion rate
  • 64 hour median payment time

Read what our customers say:

  • “There’s much less billing administration and my payments have improved.”“FreshClaim has made my billing much easier to manage. I can see where each claim stands, claims move quickly, and the billing team responds promptly on the rare occasion something needs attention. I’m no longer dependent on staff to keep the process moving. There’s much less billing administration and my payments have improved.”

    Mr J Cho Colorectal Surgeon · Melbourne, VICNo-gap, known-gap, invoiced accounts and outpatient

  • “The app design is very streamlined and intuitive.”“FreshClaim is an absolute dream to use. The app design is very streamlined and intuitive. The team at FreshClaim are incredibly proactive when it comes to troubleshooting issues with billing. 5 stars!”

    Dr J William Cardiologist · Inner and outer Melbourne, VICNo-gap and invoiced accounts

  • “The team are highly responsive to feedback and provide tremendous support.”“FreshClaim is a game changer in the medical billing industry. Intuitive, highly functional app means you no longer have to carry stickers and try and recall what you were supposed to bill. The ability to track where your claims are in the payment cycle is a fantastic addition. The team are highly responsive to feedback and provide tremendous support.”

    Dr S Chandran Procedural Gastroenterologist · Melbourne, VICNo-gap, known-gap and invoiced accounts

Every kind of specialist claim

FreshClaim handles all types of billing.

  • No-gap

    Patients pay nothing. You’re paid fast.

    Your part: Scan the patient sticker in the app.

    Our part: We lodge it through ECLIPSE the same day and follow it to payment.

  • Known-gap

    Fund and gap, managed together.

    Your part: Email the theatre list before the procedure.

    Our part: The fee estimate and informed financial consent go to the patient; we lodge the claim, then invoice and receipt the gap.

  • Manual invoicing

    Your fee, invoiced and paid.

    Your part: Set the fee.

    Our part: We invoice patients, TAC, WorkCover or hospitals, follow up unpaid accounts and issue receipts.

Start with whichever billing type you prefer, and add others as your practice situations require.

See how it works for your specialty

Your browser can’t open the pages here. See billing for every specialty.

How do you bill your patients?

Billing for physicians for surgical assistants for proceduralists and surgeons for psychiatrists for anaesthetists for rural GPs

FreshClaim handles all types of billing.

  • No-gap

    Patients pay nothing. You’re paid fast.

    2.85% + GST on what Medicare and the fund pay.

  • Known-gap

    Fund and gap, managed together.

    2.85% + GST on the ECLIPSE payment, 5% + GST on the patient payment.

  • Manual invoicing

    Your fee, invoiced and paid.

    5% + GST on the amount paid.

No-gap billing for physicians for surgical assistants for proceduralists and surgeons for psychiatrists for anaesthetists for rural GPs

No-gap billing, lodged the same day and followed to payment.

It has the least admin work, so we keep your part short and our fee low too.

Claims are quick to send, so a day of work goes in a few minutes. Every claim is logged the moment you send it and followed until it is paid in full.

How FreshClaim does no-gap billing.

  • Rapid submissions
  • Lodged the same day
  • Paid as fast as the next day
  • A median of 64 hours to payment
  • No extra fees or charges
  • 99.8% of submitted claims paid
  • A fully comprehensive monthly report
  • No billing staff to manage

2.85%plus GSTon what Medicare and the fund pay.

Our fee has no minimum, so a small claim attracts a small fee. No payment, no fee. No setup fee, no lock-in.

Getting started takes about 15 minutes. We prepare and submit your registration paperwork, and you can start sending claims while the funds finish theirs.

Charge a gap on some patients?

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Known-gap billing for physicians for surgical assistants for proceduralists and surgeons for psychiatrists for anaesthetists for rural GPs

You charge a gap. We manage both payments together.

The fund benefit claimed efficiently. Your patient’s gap managed from initial contact to final payment.

Each claim takes under 10 seconds to send, so a whole ward round is done in a few minutes, while the detail is fresh. Every claim is logged the moment you send it and followed until it is paid in full, whether it goes through ECLIPSE or is invoiced to a patient, TAC or WorkCover.

Enter the surgeon’s item numbers and we set 51300 or 51303, apply the Multiple Operation Rule and lodge the claim. If you charge a gap or a full fee, we prepare the informed financial consent and invoice the patient, before the procedure where possible.

When you charge a modest out-of-pocket, FreshClaim makes claiming less risky. You send the items, and we calculate the right known-gap amount when you bill multiple item numbers. We invoice your gaps promptly with your personalised informed financial consent, and make sure your patients are billed reliably. Follow-up, error correction and full reporting are included in the fee.

Each claim takes under 10 seconds to send, so a whole ward round is done in a few minutes, while the detail is fresh. Every claim is logged the moment you send it and followed until it is paid in full, whether it goes through ECLIPSE or is invoiced to a patient, TAC or WorkCover.

Send each claim between cases. Time units, modifiers and loadings are priced before lodgement. Send your theatre list ahead of time and we prepare the informed financial consent and collect any gap before the list begins.

In-hospital attendances calculated and billed accurately, procedures claimed promptly at known-gap rates, and invoices created for any out-of-pocket arrangements. We have your billing covered whenever you’re not in the practice. Send us your claims before you get home, and no admin ties you up later that day or on the weekend.

If your claiming doesn’t follow the usual pattern, we can tailor the app to it. Our team includes a practising GP-anaesthetist and our own developers, so the change is made in the system itself, at the same rates. Tell us how you bill.

Two payments for the one procedure: the ECLIPSE claim, lodged as for no-gap, and the patient’s out-of-pocket fee, invoiced with informed financial consent. Send us the details in whatever form suits your practice, and we manage both through to payment.

How FreshClaim does known-gap billing.

  • Send a theatre list, an email or the claim itself
  • Your fee schedule applied automatically
  • Informed financial consent in your own words
  • Gap invoiced before the procedure where possible
  • Every gap checked against the fund’s limit
  • Fund benefit lodged the same day, a median of 64 hours to payment
  • Rejections are ours to fix
  • Gaps held in trust to allow refunds and adjustments on the day
  • Transferred to you once you confirm the procedure
  • Both payments in one monthly report

2.85%plus GSTon the ECLIPSE payment.

5%plus GSTon the patient payment.

The 5% covers consent, invoices, receipts and follow-up. No minimum, so a small gap isn’t eaten by a fee. No payment, no fee. No setup fee, no lock-in.

Getting started takes about 15 minutes. We prepare and submit your registration paperwork, and you can start sending claims while the funds finish theirs.

Bill some patients at no-gap, or invoice others in full?

Get Started

Manual invoicing for physicians for surgical assistants for proceduralists and surgeons for psychiatrists for anaesthetists for rural GPs

You set the fee. We invoice it and see it paid.

Patients, TAC, WorkCover and overseas insurers, invoiced and followed up until paid.

Each claim takes under 10 seconds to send, so a whole ward round is done in a few minutes, while the detail is fresh. Every claim is logged the moment you send it and followed until it is paid in full, whether it goes through ECLIPSE or is invoiced to a patient, TAC or WorkCover.

Enter the surgeon’s item numbers and we set 51300 or 51303, apply the Multiple Operation Rule and lodge the claim. If you charge a gap or a full fee, we prepare the informed financial consent and invoice the patient, before the procedure where possible.

When a claim is neither no-gap nor known-gap, because it needs TAC or WorkCover forms or you charge the whole fee to the patient, FreshClaim handles it without fuss. Fee estimates, informed financial consent and detailed receipts are all included. Send us the claim details and we do the rest.

Each claim takes under 10 seconds to send, so a whole ward round is done in a few minutes, while the detail is fresh. Every claim is logged the moment you send it and followed until it is paid in full, whether it goes through ECLIPSE or is invoiced to a patient, TAC or WorkCover.

Send each claim between cases. Time units, modifiers and loadings are priced before lodgement. Send your theatre list ahead of time and we prepare the informed financial consent and collect any gap before the list begins.

Ward attendances, procedures and anaesthetics are sent from the same app and lodged the same day, wherever you are working. Out-of-pocket fees are invoiced for you. Nothing waits for you back at the practice, or for the weekend.

If your claiming doesn’t follow the usual pattern, we can tailor the app to it. Our team includes a practising GP-anaesthetist and our own developers, so the change is made in the system itself, at the same rates. Tell us how you bill.

Send us the details from the app or by email. We do the rest.

How FreshClaim does manual invoicing.

  • Informed financial consent in your own words
  • Invoices prepared and sent for you, to the patient, TAC, WorkCover or an overseas insurer
  • Fee invoiced before the procedure where possible
  • Followed up until it’s paid
  • Patient payments held in trust to allow refunds and adjustments on the day
  • Transferred to you once you confirm the service
  • TAC and WorkCover pay you directly
  • Every invoice and payment in one monthly report

5%plus GSTon the amount paid.

The 5% covers consent, invoices, receipts and follow-up. No minimum. No payment, no fee. No setup fee, no lock-in.

Bill some patients no-gap or known-gap?

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Billing that fits how you work.

Because the FreshClaim team comprises medical, technical and software experts, and we own the entire platform development from app to billing system, we also offer customisation beyond what other services can easily provide.

If your billing doesn’t fit a standard process, we can build one that does.

Talk to us about your billing

Medical billing software

Medical billing software and a billing team, built as one

Dr Gabriel Chan, FreshClaim co-founder and practising GP-anaesthetist
“As a doctor, I wanted my work paid promptly, with less admin for me, and no need to chase unpaid claims.”

Software or service? Both, designed together to deliver better speed and accuracy. Exact, repetitive work goes to the software, clinical context remains with our billing staff. The best of both worlds.

We own the app, the claim-processing software and the team that uses it, with our own interface designers working beside our billing staff. Each side is improved for the other, which keeps claims accurate at a speed and volume neither could hold alone.

Billing for the rest of us

Dr Gabriel Chan · Co-founder, practising GP-anaesthetist

Pricing

The fee is the start. FreshClaim is built to cut what billing costs you, from submission to payment.

Price is the first thing to compare, but it is only part of what billing costs. Claims that are never lodged, not paid, or rejections not followed up can cost you much more.

FreshClaim was designed to improve claim submission, make fewer errors, and reduce administrative work for doctors. Each claim is checked for mistakes, lodged accurately, and followed to payment so more of your work is paid, with fewer delays. Your overall “cost of billing” is kept to a minimum, meaning more income reaches your bank account.

See full pricing details

2.85% + GST

On every part of an ECLIPSE claim: Medicare, DVA and health fund

Lodged the same day and followed through to payment, with rejections fixed and lodged again. More of your work is paid, for less of your time.

5% + GST

Only on accounts we invoice: patient, TAC, WorkCover and hospital

Informed financial consent, invoices, follow-up and receipts, handled for you. Patients know where they stand from the start.

To date

99.8% of submitted claims paid.

79,000+ claims lodged.

Four years.

Australia-wide

150+ hospital locations.

27 cities and towns.

Doctors currently billing from Perth, Bunbury, Adelaide, Melbourne, Mildura, Sydney, Nambour, Townsville, Brisbane, the Gold Coast and many more locations.

Talk to us about your billing.

We’ll show you what your billing costs now, and what it would cost with FreshClaim. Onboarding help is free and registration takes about 15 minutes.

Tell Us About Your Practice

Frequently asked questions

What is ECLIPSE billing?

ECLIPSE is the Medicare channel for lodging in-hospital and specialist claims electronically, with payment straight to your bank. FreshClaim lodges every claim through it the same day and follows it to payment.

How much does a medical billing service cost in Australia?

Most charge a percentage of what they collect. It is worth checking what the rate leaves out: setup fees, extra charges for rejection follow-up, and claims or staff time it does not cover. FreshClaim is 2.85% plus GST of collected revenue, with no setup fee or lock-in, and the fee covers the whole billing process.

How long will it take to get set up?

The paperwork takes about 15 minutes, and we prepare and submit it for you. Most funds complete their side within one to two weeks; one or two can take up to three. You can start capturing and sending claims while the remaining registrations finish.

How do I get paid?

ECLIPSE pays into your nominated bank account directly, and so do TAC, WorkCover and hospitals against invoices we raise. FreshClaim never handles that money, so it is never held up. Our fee is invoiced at the end of the month rather than deducted.

Is FreshClaim medical billing software or a billing service?

Both, built to work together. The software captures the claim in the app, checks it against Medicare and health fund rules, lodges it and tracks it to payment. Our billing staff in Australia handle anything that needs judgement, such as a rejection or a fund query. We own the app, the processing software and the team.

How do I check whether my current service is losing claims?

Ask for the number of claims you sent that never entered their system, and the number written off unpaid last year. A service that can answer both is tracking properly.

All questions